Benjamin, Richard W
Benjamin, Richard W is an individual health care provider with primary practice located at 248 W 116 St , New York NY 10026-2450. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Benjamin, Richard W can be contacted via phone (212) 666-3620.Contact Information
Primary practice address
248 W 116 St
New York NY 10026-2450
Phone: (212) 666-3620
Fax: (212) 666-3985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 004372 | New York |
Profile Details
| NPI number | 1750570594 |
|---|---|
| LBN Legal business name | Benjamin, Richard W |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Jan 5th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750570594 | NPPES |
| New York | MEDICAID | 00997613 |
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